>>> WELCOME TO THE HOME OF THE SAINTS! <<< **ACCEPTING APPLICATIONS FOR THE 2010-2011 SCHOOL YEAR - PLEASE CONTACT OUR ADMISSIONS' DEPARTMENT AT (805) 483-9502 EXT *8, 179 FOR MORE INFORMATION**
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Santa Clara HS - Application
The student's parent(s) or guardian should complete this form.
STUDENT INFORMATION

Last

First

Middle

Male
Female

Social Security #

Place of Birth

Date of Birth

Applying for Grade

For the Academic Year

Religious Affiliation

Parish/Church

Native American
Hispanic/Latino
Pacific Islander
Caucasian/White
Asian

Other

African American


Street

City

State

Zip Code

Phone

E-mail

FAMILY/GUARDIAN INFORMATION
Both Parents
Father
Mother
Guardian

Other

Mother Deceased
Parents Seperated
Father Deceased
Parents Divorced
Both Parents
Father
Mother
Guardian

Other


Last

First

Middle

Home
(if different from student's)

Cell

Business

Street

City

State

Zip Code

Name

Position

Religious Affiliation

Birthplace

Yes
No

Last

First

Middle

Home
(if different from student's)

Cell

Business

Street

City

State

Zip Code

Name

Position

Religious Affiliation

Birthplace

Yes
No

Last

First

Middle

(if different from student's)

Street

City

State

Zip Code

Religious Affiliation

Yes
No
EDUCATIONAL BACKGROUND

Name

Grade

Street

City

State

Zip Code


Dates Attended Name & Address of School
ADDITIONAL INFORMATION
Yes
No

Church of Baptism

City

Year Baptized

Religion

All applicants should provide a copy of your Baptismal Certificate (if applicable)


City

Yes
No
Yes
No
Dates Attended Name of School

Name

Name

# of brothers

Older

Younger

# of sisters

Older

Younger

Parent(s)/Guardians

Student

Referral by SC Parent or Alumni
Advertising in local media
Mini Open House & Info Night

Other

Santa Clara Open House
8th Grade Class Visit
High School Fair
Applications for early enrollment are due on or before January 29, 2010. Those received after deadline will be considered on a first-come, first served basis. Please submit a non-refundable $75 application fee. Check should be made payable to SANTA CLARA HIGH SCHOOL. Thank you for applying to Santa Clara!
© Santa Clara High School
2121 Saviers Road, Oxnard, CA 93033
Phone: (805) 483-9502 - Fax: (805) 483-1588